53G-10798-90852

5 vaccinations 7 coded responses 36 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 960 / CA
Registered: 2021-03-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I feel like I am recovering from some kind of serious illness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Malaise, Pyrexia — Feeling: Good

Free text: The grade fever, intestinal distress, general malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Body temperature increased, Heart rate increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Upper right quadrant abdominal pain with some temperature elevation and increased pulse rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Some fever break type sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
2022-01-23
Call 1 — Left Voicemail
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Mild sore throat and congestion I suspect allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Survey response — day 35, dose 4
MedDRA: Lymphadenopathy, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinusitis, swollen lymph glands, sore throat, and general malaise. Negative Covid test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — 6 months, dose 4
MedDRA: Abdominal pain upper, Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent low level stomach pain. Low energy.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Dose 5 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-23	Moderna	No
4	2022-04-21	Moderna	No
5	2022-11-04	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I feel like I am recovering from some kind of serious illness.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: The grade fever, intestinal distress, general malaise.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: Upper right quadrant abdominal pain with some temperature elevation and increased pulse rate.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Some fever break type sweating

Release 11 — day 21, dose 4

2022-05-12

Symptoms: Mild sore throat and congestion I suspect allergies.

Release 11 — day 35, dose 4

2022-05-26

Symptoms: Sinusitis, swollen lymph glands, sore throat, and general malaise. Negative Covid test.

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Persistent low level stomach pain. Low energy.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release